Relationship between substance abuse and panic attacks

Katerndahl, David A.; Realini, Janet P.

doi:10.1016/s0306-4603(98)00078-1

Cited by 27 publications

(12 citation statements)

References 7 publications

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“…Our finding that patients have more difficulty in avoiding use of nonprescribed drugs cannot be generalized to alcohol abuse because there was no difference found in alcohol use on the LSRDS. Nonetheless, it may well be the case that the somatic symptoms associated with PD (such as chest pains and palpitations), taken with patients' heightened awareness of these 'body-focused' symptomatology [48][49][50], may in some instances result in increased and unnecessary use of alcohol, nonprescribed drugs or even benzodiazepines [51].…”

Section: Discussionmentioning

confidence: 99%

Quality of Life in Anxiety Disorders: A Comparison of Obsessive-Compulsive Disorder, Social Anxiety Disorder, and Panic Disorder

Löchner

Mogotsi²,

Toit³

et al. 2003

Psychopathology

194

123

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Background: There is growing recognition that the anxiety disorders are disabling disorders associated with substantial morbidity and impaired quality of life (QOL). Nevertheless, there have been few studies comparing QOL across these conditions. Sampling and Methods: 337 outpatients with obsessive-compulsive disorder (OCD; n = 220), panic disorder (PD; n = 53), or social anxiety disorder (SAD; n = 64) were compared using a number of assessment scales to compare objective and subjective impairment in QOL. The association of QOL with symptom severity and comorbid depression was also assessed. Results: The extent of impairment due to OCD, PD or SAD appears to be similar across the QOL scales. However, various domains are differentially affected in each of the disorders; OCD patients had more impairment in family life and activities of daily living; SAD patients had more impairment in social life and leisure activities, and PD patients were less able to avoid the use of nonprescribed drugs. QOL was lower in patients with increased symptom severity as well as in those with comorbid depression. Conclusions: While the extent of impairment appears similar across a number of different anxiety disorders, characteristic symptoms of each disorder may be associated with differential impairment of various domains of function, and may require specifically tailored interventions.

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Section: Discussionmentioning

confidence: 99%

Quality of Life in Anxiety Disorders: A Comparison of Obsessive-Compulsive Disorder, Social Anxiety Disorder, and Panic Disorder

Löchner

Mogotsi²,

Toit³

et al. 2003

Psychopathology

194

123

View full text Add to dashboard Cite

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“…AOR-2 set ''self-medication with alcohol only'' as the reference category. *p < .05; **p < .01; ***p < .001 cocaine) may be responsible for the onset of panic disorder, and that self-medication behavior develops afterwards (e.g., Katerndahl & Realini, 1999). Further investigation is necessary to delineate the particular drugs of choice among panic disordered individuals in order to determine the specific nature of this relationship.…”

Section: Dsm-iv Diagnostic Variablesmentioning

confidence: 99%

Self-medication of anxiety disorders with alcohol and drugs: Results from a nationally representative sample

Robinson

Sareen

Cox

et al. 2009

Journal of Anxiety Disorders

186

137

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“…Yet, several methodological features of previous studies leave several questions unanswered. Specifically, with few exceptions (Maier et al, 1993; Katerndahl & Realini, 1999), the study designs of previous investigations have not considered the potentially confounding role of comorbid alcoholism in the PD proband. As alcohol use disorders have a familial component, it therefore remains unclear whether the observed increases reflect a familial association between alcoholism and PD, or are attributable to proband alcohol comorbidity.…”

Section: Introductionmentioning

confidence: 99%

Family history of alcohol use disorders among adults with panic disorder in the community

Goodwin

Lipsitz

Keyes

et al. 2011

Journal of Psychiatric Research

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Objective Clinical studies suggest a familial association between panic disorder and alcohol use disorders but this relationship has not been examined in a representative community sample. To examine the familial association between panic disorder and alcohol use disorders among adults in the community. Method Data were drawn from the NESARC, a nationally representative sample of over 43, 000 adults in the United States. Rates of alcohol use disorders were examined using the family history method in first-degree relatives (FDRs) of adults with panic disorder. Analyses were adjusted for demographics, alcohol use disorders in the proband, and anxiety disorders in the FDRs. Results First-degree relatives of adults with panic disorder have significantly higher odds of alcohol use disorders, compared with FDRs of adults without panic disorder. These associations persist after adjusting for demographic characteristics, alcohol use disorders in the proband, and anxiety disorders in the FDR's. Conclusions Consistent with findings from clinical studies, this is the first population-based study to show a familial link between panic disorder and alcohol use disorders. This association appears independent of the influence of comorbidity of alcohol use disorders and anxiety disorders, suggesting a potential familial and/or genetic pathway. Future longitudinal studies will be needed to further understand the mechanism of this observed association.

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Relationship between substance abuse and panic attacks

Cited by 27 publications

References 7 publications

Quality of Life in Anxiety Disorders: A Comparison of Obsessive-Compulsive Disorder, Social Anxiety Disorder, and Panic Disorder

Quality of Life in Anxiety Disorders: A Comparison of Obsessive-Compulsive Disorder, Social Anxiety Disorder, and Panic Disorder

Self-medication of anxiety disorders with alcohol and drugs: Results from a nationally representative sample

Family history of alcohol use disorders among adults with panic disorder in the community

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